METFORMIN HCL 500MG/SAXAGLIPTIN 5MG 24 HR TAB,SA (22043) VA PRODUCT (50.68)

Name	Value
NAME	METFORMIN HCL 500MG/SAXAGLIPTIN 5MG 24 HR TAB,SA
VA GENERIC NAME	METFORMIN/SAXAGLIPTIN
DOSAGE FORM	TAB,SA (EXTENDED RELEASE)
FDA MED GUIDE	Metformin-Saxagliptin_(Kombiglyze_XR)_(2017).pdf
ACTIVE INGREDIENTS	METFORMIN HYDROCHLORIDE STRENGTH: 500 UNITS: MG SAXAGLIPTIN STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	METFORMIN/SAXAGLIPTIN TAB,SA (EXTENDED RELEASE)
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	METFORMIN 500MG/SAXAGLIPTIN 5MG SA TAB
VA PRODUCT IDENTIFIER	M0924
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030278
EFFECTIVE DATE/TIME	2010-12-03 00:00:00 STATUS: ACTIVE